UMS-Wright Preparatory School

U M S - Wr ig ht
Pr e pa r a t or y
S c hool
65 Mobile Street • Mobile, Alabama 36607
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First
Middle
(Name preferred to be called)
Last
Date of Birth ________________
o Male
o Female
Current Grade_____________ Year of Expected Enrollment____________ Applying for Grade ______________
Present School’s Name ______________________________________ Dates Attended ____________________
Present School’s Address _____________________________________________________________________
Name of Headmaster or Principal ______________________________________________________________
Name:_____________________________________
Name:_____________________________________
Home Address: ______________________________
Home Address: ______________________________
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Home Phone #: ______________________________
Home Phone #: ______________________________
Cell Phone #: _______________________________
Cell Phone #: _______________________________
E-Mail Address: _____________________________
E-Mail Address: _____________________________
Occupation: ________________________________
Occupation: ________________________________
Business Name: ______________________________
Business Name: ______________________________
Business Phone #: ____________________________
Business Phone #: ____________________________
High School/College Attended: __________________
High School/College Attended: __________________
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If father is re-married please give name of Stepmother:
If mother is re-married please give name of Stepfather:
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o Parents Married o Parents Divorced o Parents Separated
Applicant resides with:
o Other o Mother Deceased o Father Deceased
o Mother and Father
Financially Responsible Parent(s): ________________
o Other (Specify) ____________________________
o Mother
o Father
Is either parent of applicant an alumnus of UMS, Julius T. Wright, or UMS-Wright?
Year Graduated: o Father_____________________________ o Mother _______________________________
List siblings who are currently enrolled or have applied for admission to UMS-Wright.
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List any relations who are either enrolled, have attended, or have graduated from UMS, Julius T. Wright or UMS-Wright
and give their relationship to the applicant.
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Please give us the names of friends or acquaintances that have recommended UMS-Wright to you for your child.
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How did you learn about UMS-Wright? (Friend, relative, magazine, internet, realtor, etc,)
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Citizenship if other than U.S. _________________________________________________________________
Ethnicity: o African American o Asian o Caucasian o Hispanic o Middle Eastern o Native American o Other __________
List all schools that applicant has attended and give dates of attendance.
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By signing this application, I give permission for UMS-Wright to contact my child’s current and previous school(s).
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Parent Signature
Parent Signature
Date of Application Completion
UMS-Wright admits students of any race, color, and national ethnic origin who meet the admissions requirements of the school.